UnitedHealth Group

UnitedHealth Group is a healthcare and well-being company that’s dedicated to improving the health outcomes of millions around the world. We are comprised of

Advisory Director, Care Transformation

Location

Minnesota + 1 moreAll locations: Minnesota | District Of Columbia

Posted

2 days ago

Salary

$134.6K - $230.8K / year

Seniority

Mid Level

Professional Certificate

Job Description

Advisory Director, Care Transformation

UnitedHealth Group

Advisory Director, Care Transformation Location: Minneapolis or Washington, D.C Hybrid/ remote Requisition number: 2350217 Job category: OptumInsight Consulting Overtime status: Exempt Travel: Yes, 75 % of the Time Job Description: Optum Insight is improving the flow of health data and information to create a more connected system. We remove friction and drive alignment between care providers and payers, and ultimately consumers. Our deep expertise in the industry and innovative technology empower us to help organizations reduce costs while improving risk management, quality and revenue growth. Ready to help us deliver results that improve lives? Join us to start Caring. Connecting. Growing together. The Advisory Director, Care Transformation - Remote will be a part of a team responsible for solving some of the most complex issues facing health systems across the US. Our clients seek transformational solutions to managing clinical operations - including Care Management, Workflow, and Clinical Variation Reduction - to reduce cost of care, improve quality and patient outcomes, and bring innovative solutions to solve complex problems. This individual will lead opportunity analysis, solution design, financial measurement and implementation. The ideal candidate must be passionate about improving care delivery, effective at working in a fast-paced, high energy environment and confident in their interactions with senior leaders (C-suite), providers, and business partners. You'll enjoy the flexibility to work remotely* from anywhere within the U.S. as you take on some tough challenges. For all hires in the Minneapolis or Washington, D.C. area, you will be required to work in the office a minimum of four days per week. Primary Responsibilities: - Provide clinical subject matter expertise to initiative teams to drive financial and quality outcomes, focused primarily on transformational partnership due diligence and implementation - Structure complex care delivery challenges into frameworks that can be analyzed and solved, and coordinate integration of Optum solutions across the continuum of care into client partnerships - Leads and participates in activities to establish scope of Optum partnership with the health system to address continuum of care, including transition, transformational and implementing Optum solutions, and integrating with the client best practices in partnership with Optum partners - Participates in client delivery, solution design, and analytic requirements of high quality clinical variation/transformational engagements or services, including presenting executive level reports and dashboards for demonstrating outcome trends - Assesses, designs and implements strategic client goals related to clinical variation initiatives targeted to promote the growth and enhancement of existing structures working in partnership with the organization's executive and physician leadership - Provides subject matter expertise and/or oversight to engagements or other clinical consulting engagements depending upon additional clinical expertise - Oversees and manages OAS team members either directly or through a matrixed, client-based environment - Ensures that client expectations and contract deliverables are met during assigned engagement - Coordinates the development of short and long plans to drive effective clinical and non-clinical sourcing and utilization - Support the creation of sales pursuit materials and other business development activities (e.g. proposals and Change Notices) - Support ongoing design of best practice methodologies in ambulatory and acute You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: - Licensed Registered Nurse - 7+ years of professional experience in an acute care hospital operations setting driving cost reduction - 7+ years of Case Management experience - Experience working in a highly matrixed organization - Proven experience developing and implementing operating plans, analyzing financial and quality data - Proven engagement experience with physicians, and ability to provide valuable insights and logical explanations when faced with difficult questions - Clinical consulting experience across multiple clinical and cost improvement-related areas - Demonstrated success in yielding unprecedented results within the area of clinical variation - Ability to use Microsoft products, develop and deliver presentations - Able and willingness to travel up to 80% of the time Preferred Qualifications: - Experience in provider management and / or clinical transformation consulting engagements resulting in significant recurring financial benefit - Experience developing care continuum, cost reduction and clinical transformation methodologies and designing innovative solutions in a complex and rapidly changing environment - Foundational understanding of health systems / provider organizations *All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $134,600 to $230,800 annually based on full-time employment. We comply with all minimum wage laws as applicable. Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

Related Categories

Related Job Pages

More Director Jobs

Highwire Public Relations logo

Director, Creative Production

Highwire Public Relations

Headquartered in San Francisco, California, Highwire Public Relations is a technical communication and PR agency with satellite offices in Chicago, Illinois; Ne

Director2 days ago

Title: Director, Creative Production Location: San Francisco United States, New York, NY or San Francisco, CA Job Description: Highwire is reimagining what a Director of Creative Production can be. We are an AI-native, sector-expert, outcome-obsessed partner to the world's most innovative companies. As our Director of Creative Production, you are responsible for overseeing the intake, estimation, negotiation, and staffing of the Creative team across a growing portfolio of complex, multi-scope client engagements. You'll also support the team in ensuring that the processes around all disciplines are executed with a process that starts with a brief and ends with on-time delivery, in partnership with our Account and Project Manager roles. This position reports to the VP and Creative Director and combines Creative and Project Management responsibilities. About you: You are ruthlessly organized and motivated by the smooth, efficient competition of tasks against a plan. You understand how creative people work and protect their time and energy as fiercely as you protect deadlines. You navigate ambiguity and change without losing momentum, and you know how to bring a team along as the path is still being built. You look around corners and habitually have alternative options. Your teammates rely on you and know they can trust you to keep them on target, and aware of any potential derailments. You adore spreadsheets, Gantt charts and checklists, and you thrive on process. You're able to think on your toes and be resourceful in finding solutions to problems and answers to questions without strong oversight. Key Responsibilities - Serve as the operational connective tissue between Creative and cross-functional partners - Implement consistent creative-first project management processes across key pieces of business - Own the project intake and briefing process, ensuring every engagement enters production with a clear, approved creative brief before work begins - Lead the development of statements of work (SOWs), project estimates, and production proposals that accurately reflect creative scope, team capacity, and delivery timelines. - Manage budgets for project-based work and report budget performance - Manage production across concurrent, high-visibility client scopes, including enterprise-level accounts with multiple workstreams running simultaneously - Support pre-production, production, and post-production workflows across video, motion, and experiential projects, coordinating with internal teams and potential vendors - Partner with Creative leadership to establish intake, briefing, and project kickoff standards that support creative quality from the start - Articulate strategic plans, consult at a strategic level with clients, and have an in-depth understanding of the budget-setting process - Take ownership of team staffing, working with other staffing representatives across the agency - Be prepared to report progress and next steps as required daily, weekly and at project conclusion - Continue involvement in the execution of account work while steadily increasing responsibility over teams and client deliverables - Identify projects with case study potential early and partner with Creative leadership to ensure documentation planning is considered Candidate requirements - 8+ years above the producer/project management level, and experience leading multiple concurrent, complex, highly visible projects without supervision - Agency experience, including planning, scheduling, and coordinating with external partners and clients (i.e., in a client-facing role) - Proven ability to manage change, rally teams around new directions, and drive adoption of processes in a fast-moving environment - Experience managing cross-functional relationships, including the ability to work assertively and collaboratively across competing priorities - Demonstrated experience producing video, motion, and/or experiential projects in an agency environment, including vendor management and multi-market coordination. - Experience running print/document production, strategy, digital, pre-production video and/or web development projects - Understanding of specific quality assurance requirements for interactive or web-based deliverables, including user experience testing - Demonstrated ability to work within AI-native production environments, including the use of AI-assisted tools for project planning, scoping, and workflow optimization - Familiarity with CMS, social media platforms, Creative Cloud, Google Workspace/G-suite and Mac preferred - Associate''s or Bachelor''s degree in a related field, or the equivalent combination of education and experience The salary range for this position is $110,000 to $150,000, with the final offer based on a combination of factors, including education, relevant experience, skills, prior training, internal equity, and local geographic market data. This role also includes a competitive benefits package with medical, dental, and vision coverage, 401(k) matching, generous paid time off, and additional perks designed to support your overall well-being and growth. #LI-Hybrid About Highwire Highwire is a strategic marketing communications agency at the intersection of innovation and industry. We partner with ambitious companies and established brands to navigate complexity, lead markets, and grow with purpose. With integrated expertise in strategic marketing and communications, corporate reputation, creative, and insights, we cut through the noise to deliver bold ideas and measurable impact across B2B technology, healthcare, cybersecurity, energy, professional and financial services, and more. At Highwire, we believe that storytelling fuels transformation. We know that the most impactful stories represent all voices and perspectives. As a values-driven agency, we foster an inclusive environment where everyone-regardless of age, race/ethnicity, size, shape, gender identity, sexual orientation, religion and different abilities-can feel safe, celebrated and worthy. We ensure that every Highwire Walker has the requisite support to soar in their careers. Our commitment to diversity, inclusion and belonging is foundational and embedded in our business and culture. We aspire to change our industry and build a better future for all. Our people-first culture is driven by four core values: - Team Empowerment - Growth Mindset - Inclusion Always - Fierce Distinction We're looking for individuals with big ideas, strong opinions, and the energy to bring them to life. If you thrive in an environment that values personal accountability, high standards, and boundless motivation, this is the opportunity for you. Be part of our award-winning culture and contribute to an exciting and growing business where you can make a real impact. Highwire. Above all. Our people-first culture is reflected in the meaningful benefits, flexibility, and support we offer: - Competitive salary with merit-based opportunities for growth - Flexible hybrid work model tailored to your schedule and lifestyle - Generous vacation policy, including extended summer and winter breaks - Early log-off on Fridays through our Empower Hours program - 401(k) plan with employer matching - Comprehensive medical, dental, and vision coverage, plus FSA options - Paid parental leave benefits - Commuter benefits - Annual Growth Mindset stipend for books, events, or learning experiences - Monthly technology reimbursement - Wellness benefit program for mental and physical health - 501c3 donation matching program - Mentorship and ongoing professional development opportunities - Monthly recognition and team celebrations - Employee referral and new business referral bonuses - Quarterly Highwire events and team gatherings - Dog-friendly office environment - A supportive, inclusive, and collaborative workplace where you can grow and do your best work Location & Work Environment Highwire offers both remote and hybrid work options, depending on where you live. Hybrid: Candidates located within commuting distance of our New York, NY or San Francisco, CA offices follow a hybrid schedule, with three in-office days per week. Remote: We hire for fully remote roles in the following states: California, Colorado, Connecticut, Florida, Georgia, Illinois, Iowa, Kansas, Maryland, Massachusetts, Michigan, New Hampshire, New Jersey, New York, North Carolina, Ohio, Oregon, Pennsylvania, Rhode Island, South Carolina, Tennessee, Texas, Utah, Virginia, Washington, and Washington, D.C.. Please note: We are only able to consider candidates who reside in one of the locations listed above at the time of hire. Join the Highwire team If you're inspired by the opportunity to shape meaningful stories and grow alongside a team that values innovation, accountability, and inclusion, apply below to start the conversation. Please note: This posting may be used to build our talent pipeline, connect with top professionals in the industry, or extend reach across multiple locations. We welcome all interested candidates to apply and explore opportunities at Highwire!

New York + 1 moreAll locations: New York | California
$110K - $150K / year
ServiceNow logo

Senior Director, AMS Area Lead - CEG, Telco Media (TMT-SI)

ServiceNow

ServiceNow provides cloud-based services that automate enterprise information technology operations. As an employer, ServiceNow offers a challenging, collaborat

Director2 days ago
Full TimeRemoteTeam 29,000Since 2004

Company Description It all started in sunny San Diego, California in 2004 when a visionary engineer, Fred Luddy, saw the potential to transform how we work. Fast forward to today - ServiceNow stands as a global market leader, bringing innovative AI-enhanced technology to over 8,100 customers, including 85% of the Fortune 500®. Our intelligent cloud-based platform seamlessly connects people, systems, and processes to empower organizations to find smarter, faster, and better ways to work. But this is just the beginning of our journey. Join us as we pursue our purpose to make the world work better for everyone. Job Description About Customer Excellence Group (CEG) at Service Now Service Now's worldwide Customer Excellence team is a global network of Service Now employees and partners. Our sole mission is to ensure customer success. We work with our customers to build relationships, learn about their businesses, and drive value value-based results. We strive to delight our customers and make this the best buying decision they ever made. About the Position This role will have responsibility for leading the team that makes every customer in the Telco & Media Areaa committed to ServiceNow and has the ability to marshal all customer resources to address any customer satisfaction, adoption, professional services, or renewal challenges within their Area, resulting in clear accountability, consistent service, and one face to the customer. This role is instrumental in championing innovation and leveraging cutting-edge technology to enhance customer experiences and deliver substantial business value. This role also carries the lead responsibility for Customer Satisfaction and Success through the sale and delivery of our Impact and Services products and add-ons, as well as the relationship with Partners -- all of which are critical to the company's short and long-term success. Responsibilities - Customer Success: Deeply understand customer business challenges and leverage AI and digital tools to deliver tailored innovative solutions that provide tangible business impact. - Operational Excellence: Implement scalable, repeatable methodologies to ensure consistent, valued customer experiences and operationalize key national and global programs for enhanced scalability. - Cross-Functional Collaboration: Build and nurture relationships with C-level executives and collaborate with sales, solutions consulting, services, and product development teams to ensure strategic alignment and scale. - Sales and Growth Alignment: Partner with the sales team to develop and execute aligned growth strategies, focusing on License Agreements and expert services. - Leadership in Innovation: Foster a culture that celebrates creativity and innovation, enabling teams to develop solutions aligned with customers' evolving needs and business landscapes. - P&L Management: Drive business performance by managing key business metrics such as P&L, revenue, bookings, and other performance indicators, all focused on customer-centric outcomes. Qualifications Background and Experience - A minimum of 10 years in a leadership role in customer success and business growth. - Demonstrated experience in SaaS or Cloud-based environments, delivering software solutions to enterprises. - Proven track record in building and managing high-performing teams. - Strong experience in P&L management within large organizations. - In-depth knowledge of ServiceNow products and solutions, particularly within customer success and services sales tailored to CORE sectors. - Exceptional leadership, analytical, and negotiation skills. - High Emotional Quotient (EQ) with the ability to influence and lead diverse teams positively. - Willingness to travel regionally and align closely with sales and CEG leaders. Desired Skills - Ability to thrive in a fast-paced, demanding and highly matrixed environment. - Passion for technology and innovation, particularly in AI, Agentic AI, and machine learning applications within the CORE sectors. - Experience with AI-driven insights and analytics to drive strategic decision-making and enhance customer experiences. - Strong interpersonal and communication skills with the ability to deliver detailed and strategic insights. - Understanding of AI tools and platforms that benefit the Energy, Logistics, Transportation, and Utilities industries. - Previous experience in a consulting environment is a strong plus. - Familiarity with AI integration in SaaS solutions is advantageous. FD21 For positions in this location, we offer a base pay of $205,900 - $370,600, plus equity (when applicable), variable/incentive compensation and benefits. Sales positions generally offer a competitive On Target Earnings (OTE) incentive compensation structure. Please note that the base pay shown is a guideline, and individual total compensation will vary based on factors such as qualifications, skill level, competencies, and work location. We also offer health plans, including flexible spending accounts, a 401(k) Plan with company match, ESPP, matching donations, a flexible time away plan and family leave programs. Compensation is based on the geographic location in which the role is located and is subject to change based on work location. Additional Information Work Personas We approach our distributed world of work with flexibility and trust. Work personas (flexible, remote, or required in office) are categories that are assigned to ServiceNow employees depending on the nature of their work and their assigned work location. Learn more here . To determine eligibility for a work persona, ServiceNow may confirm the distance between your primary residence and the closest ServiceNow office using a third-party service. Equal Opportunity Employer ServiceNow is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, creed, religion, sex, sexual orientation, national origin or nationality, ancestry, age, disability, gender identity or expression, marital status, veteran status, or any other category protected by law. In addition, all qualified applicants with arrest or conviction records will be considered for employment in accordance with legal requirements. Accommodations We strive to create an accessible and inclusive experience for all candidates. If you require a reasonable accommodation to complete any part of the application process, or are unable to use this online application and need an alternative method to apply, please contact globaltalentss@servicenow.com for assistance. Export Control Regulations For positions requiring access to controlled technology subject to export control regulations, including the U.S. Export Administration Regulations (EAR), ServiceNow may be required to obtain export control approval from government authorities for certain individuals. All employment is contingent upon ServiceNow obtaining any export license or other approval that may be required by relevant export control authorities. From Fortune. ©2025 Fortune Media IP Limited. All rights reserved. Used under license.

California
$205.9K - $370.6K / year

Director, Pharmacy Benefit Manager Drug Trend Intelligence

UnitedHealth Group

UnitedHealth Group is a healthcare and well-being company that’s dedicated to improving the health outcomes of millions around the world. We are comprised of

Director2 days ago

Director, PBM Drug Trend Intelligence Requisition number: 2347458 Job category: Strategy Primary location: Eden Prairie, MN Overtime status: Exempt Travel: Yes, 25 % of the Time Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. The Director of Trend Intelligence will lead thought leadership responsible for reporting out on macro drug cost trends within all lines of business focusing on key strategic pillars including oncology, weight loss, inflammatory and cardiovascular conditions as well as insights in areas such as biosimilar adoption, formulary compliance, new pipeline entrants and clinical solution innovation. This role will work cross functionally in close partnership with our clinical, account management, and trade teams and be an important external and internal resource for this area. This leader will help to identify innovative product solutions to the marketplace that improve member care, increase provider engagement, and lower client costs while driving business performance of Optum Rx. The position will provide strategic support to key Optum Rx clients to serve as subject matter expert on client specific trend insights working to identify possible solution sot help mitigate drug trend driving affordability and high-quality pharmacy care. This role will have broad, enterprise-wide impact across Optum Rx, shaping how drug trend intelligence informs clinical strategy, product innovation, pricing, formulary design, and client engagement. The Director of Trend Intelligence will act as a central connector between clinical, trade, product, analytics, and account teams, ensuring consistent, data-driven insights are embedded across Optum Rx decision-making, go-to-market strategies, and long-term affordability initiatives. You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. For all hires in the Minneapolis or Washington, D.C. area, you will be required to work in the office a minimum of four days per week. Primary Responsibilities: - Translate macro and therapeutic drug trend insights into actionable strategies across Optum Rx, influencing formulary, clinical programs, pipeline prioritization, and product roadmaps - Partner with clinical, trade, product, and analytics leaders to ensure trend intelligence is consistently integrated into enterprise initiatives and operating decisions across all lines of business - Serve as an internal center of excellence for drug trend insights, standardizing methodologies, narratives, and materials used across Optum Rx for client delivery, sales, and executive engagement - Inform enterprise affordability strategies by identifying cross-portfolio opportunities to mitigate drug trend, improve clinical outcomes, and enhance member and provider experiences - Drive alignment between external client-facing insights and internal Optum Rx priorities to ensure consistency, credibility, and scalability of trend intelligence - Support Optum Rx leadership with enterprise-level insights and executive-ready perspectives on emerging trends, risks, and opportunities impacting pharmacy cost and care delivery - Deliver thought leadership to understand current drug trends, considering key therapeutics, marketplace and regulatory factors, as well as client-specific benefit design - Serve as a strategic partner to clients, account teams, and clinical consultants in optimizing benefit design and clinical strategies - Ideate and define new products and champion their development, including innovative capabilities within existing products - Help train Clinical Consultants and Account Management Staff on key trend insights. Participate in sales presentations, including PBM best and finals - Provide integration opportunities and thought leadership to clinical partners within Optum Health and Optum Insight - Present internally and externally to promote trend insights - Follow guidelines established by Optum Clinical Policy teams You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: - Bachelor's Degree or Advanced clinical degree (PhD, PharmD, and/or MPH) - 5+ years of experience in analytics; analyzing clinical literature, analyzing large data sets to identify key trends - 3+ years within pharmaceutical space selling healthcare services capabilities to companies, providers, and/or members - Experience communicating insights, clinical overviews & drug trends to strategic clients and stakeholders - Experience evaluating clinical studies/research - Ability to travel up to 25% Preferred Qualifications: - Experience directly working with clients in the health plan, PBMs, life sciences and/or specialty pharmacy industry - Experience extracting data for analysis from reports and/or dashboards using Excel, PowerBI and/or SQL - Experience in public health, pharmacology, bio statistics, and/or pharmacy - Experience in Health Economics Outcomes Research (HEOR) - Consultant experience This role is critical to advancing Optum Rx's ability to proactively respond to evolving drug trends while aligning clinical excellence, affordability, and business performance at scale. *All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $134,600 to $230,800 annually based on full-time employment. We comply with all minimum wage laws as applicable. Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

Minnesota + 1 moreAll locations: Minnesota | District Of Columbia
$134.6K - $230.8K / year
Full TimeRemoteTeam 1,001-5,000H1B Sponsor

Director of Market Access and Reimbursement Location: Atlanta, GA Remote Full time Job Description: ItamarAt ZOLL, we're passionate about improving patient outcomes and helping save lives. We provide innovative technologies that make a meaningful difference in people's lives. Our medical devices, software and related services are used worldwide to diagnose and treat patients suffering from serious cardiopulmonary and respiratory conditions. ZOLL Itamar is an innovative medical device technology company that focuses on the development and manufacturing of Home Sleep Apnea Tests to aid in the diagnosis of respiratory sleep disorders. Our core product is the WatchPAT®️ family, a revolutionary FDA-cleared portable home sleep apnea test device, that is based on proprietary signal and analysis. 80% of patients who have sleep apnea are undiagnosed. We are committed to reach those undiagnosed patients and provide testing to promote wellness and enhance overall quality of life. WatchPAT®️ is commercially available within major markets including the U.S., Japan, and Europe, and is the leading home sleep apnea test in the US. ZOLL Itamar’s corporate headquarters, research and development and manufacturing are located in Israel with U.S. headquarters based in Atlanta, GA. Job Type Remote Job Summary Director of Market Access & Reimbursement will be responsible for the coordination and growth of our market access and reimbursement initiatives in North America (US & Canada). As part of this role, the Director of Market Access & Reimbursement will manage the US reimbursement team and the consultants we work with. To be successful in this position, person must be able to handle both the tactical level (i.e. support RSMs and providers with denials, billing, reimbursement education etc.) as well as understand and interact with payers on a higher level of reimbursement discussions. The Director of Market Access & Reimbursement will lead payer's policies' monitoring and submissions for updating them when needed, to increase our products coverage and reimbursement rates. In this position a person must be able to work independently, be proactive and creative and know his/her way in the reimbursement regulatory maze. This position will work closely and in coordination with our sales organization, leadership team and Regional Sales Managers, as well as other field professionals. The Director of Market Access & Reimbursement will report to the VP Strategic Planning & Health Economics. Essential Functions - Understand and follow reimbursement guidelines and policies to include timely updates and communicate changes that affect reimbursement to management (we currently monitor policies of more than 300 payers in the US, each has at least one policy). - Keep track of payers’ policies and coverage of our products, what restriction do they have and decide if a change is needed to improve our products’ reimbursement. - Monitor and analyze relevant guidelines and provide published data to company relevant staff. Provide data to address reimbursement challenges, such as utilization of our products (and competitors), number of covered lives per payer etc. - Contact and negotiate with insurance companies regarding denials as well as policy issues. - Develop and execute a market access and reimbursement strategy in Canada to approve coverage of our products. - Support the ZOLL IDTF reimbursement team to increase coverage and reimbursement rates in the IDTF contracts with payers. - Responsible for all reimbursement training for new hires, specifically in out field force. - Point of contact for our field force (ABDs, RSMs) and others when they need to understand coverage issues, or once they encounter a reimbursement problem. - Manage the US reimbursement team to resolve reimbursement issues in the field and support our field force. - Address denials (why and how to solve). - Educate providers about home sleep testing reimbursement. - Provide timely and effective solutions aligned with company needs. Required/Preferred Education and Experience - Bachelor's Degree in health-related or similar field required - 5+ years of reimbursement or comparable experience preferred - Professional Coding Certification highly preferred preferred Knowledge, Skills and Abilities - Proven experience dealing with insurance companies and payors. - Experience in Cardiovascular or Sleep Apnea - required. - Experience with reimbursement of medical devices – preferred. - Experience in working with specific tools monitoring payers’ policies such as “Policy Reporter” or others. - Proven negotiating and customer relationship management skills with the ability to navigate a complex process. - Ability to effectively manage assigned accounts in terms of problem resolution and business planning. - Proven effective verbal, computer SW (word, PP etc.), written and presentation/communication skills. - Ability to quickly adapt and respond to job, environmental, and industry changes. - Ability to lead others to accomplish work, while monitoring and mentoring them. - Strong customer service skills, with excellent written & verbal communication skills. - Strong analytical skills. - Must be able to communicate effectively & maintain professional conduct at all times. - Organized, self-starter with the ability to handle numerous projects and prioritize workload with minimal supervision. Travel Requirements - 10% Physical Demands The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. - Standing - Occasionally - Walking - Occasionally - Sitting - Constantly - Talking - Occasionally - Hearing - Occasionally - Repetitive Motions - Frequently ZOLL is a fast-growing company that operates in more than 140 countries around the world. Our employees are inspired by a commitment to make a difference in patients' lives, and our culture values innovation, self-motivation and an entrepreneurial spirit. Join us in our efforts to improve outcomes for underserved patients suffering from critical cardiopulmonary conditions and help save more lives. The annual salary for this position is: $160,000.00 to $170,000.00 This position is eligible for an annual bonus in accordance with the company's bonus plan. Factors which may affect starting salary include geography, skills, education, experience, and other qualifications of the successful candidate. Details of ZOLL's comprehensive benefits plans can be found at www.zollbenefits.com. Applications will be accepted on an ongoing basis until this position is filled. For fully remote positions, compensation will comply with all applicable federal, state, and local wage laws, including minimum wage requirements, based on the employee’s primary work location. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, disability, or status as a protected veteran. ADA: The employer will make reasonable accommodations in compliance with the Americans with Disabilities Act of 1990. About Us ZOLL Medical Corporation, an Asahi Kasei Group Company, develops and markets medical devices and software solutions that help advance emergency care and save lives, while increasing clinical and operational efficiencies. With products for defibrillation and monitoring, circulation and CPR feedback, data management, therapeutic temperature management, and ventilation, ZOLL provides a comprehensive set of technologies that help clinicians, EMS and fire professionals, and lay rescuers treat victims needing resuscitation and acute critical care. For more information, visit www.zoll.com. The Asahi Kasei Group is a diversified group of companies led by holding company Asahi Kasei Corp., with operations in the material, homes, and health care business sectors. Its health care operations include devices and systems for acute critical care, dialysis, therapeutic apheresis, transfusion, and manufacture of biotherapeutics, as well as pharmaceuticals and diagnostic reagents. With more than 30,000 employees around the world, the Asahi Kasei Group serves customers in more than 100 countries. For more information, visit www.asahi-kasei.co.jp/asahi/en/.

Georgia
$160K - $170K / year